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Payer Enrollment Specialist Jobs in California

Vp, Payer Relations Jobs
By Scripps Health At , San Diego, 92121, Ca
Master's Degree in a related field or an equivalent combination of education and experience.
A seasoned executive with five or more years of operations experience who has demonstrated increasingly responsible experience in healthcare administration.
Must demonstrate a track record of being an accomplished executive with health care system experience.
Extensive strategic planning and budget formulation skills at an executive level with complex analytical and problem-solving skills.
Must possess strong leadership skills and be an effective team builder.
Knowledge of State and Federal Healthcare regulations including relating to payer contracts, payment guidelines, etc.
Payer Enrollment Specialist Jobs
By Medallion At , San Francisco, Ca $20 - $29 an hour
Understand specific application requirements for each payer including prerequisites, forms required, form completion requirements, supporting documentation (DEA, CV, etc.), and regulations
Follow up on enrollments in process (telephone, email, and portal) and maintain enrollment records in Medallion thru timely documentation
Ensure Medallion has all supporting documentation in provider profiles. This includes all onboarding documents, application copies, welcome letter, and other correspondence
Create client updates and participate in client calls as needed
Establish close working relationships with payer representatives and contracting. departments in order to streamline future submissions and improve approval times
Perform other duties as assigned

Are you looking for an exciting and rewarding career in the healthcare industry? We are looking for a Payer Enrollment Specialist to join our team! As a Payer Enrollment Specialist, you will be responsible for ensuring accurate and timely enrollment of providers into payer networks. You will also be responsible for managing the payer enrollment process, including gathering and submitting required documentation, tracking enrollment status, and resolving any issues that arise. If you have excellent organizational and communication skills, and a passion for helping others, this could be the perfect job for you!

Overview:

Payer Enrollment Specialists are responsible for ensuring that healthcare providers are enrolled in the appropriate payer networks. They work with payers, providers, and other stakeholders to ensure that providers are enrolled in the correct networks and that all paperwork is completed correctly. They also provide customer service to providers and payers, and help resolve any issues that arise.

Detailed Job Description:

Payer Enrollment Specialists are responsible for managing the enrollment process for healthcare providers. This includes verifying provider information, submitting applications to payers, and ensuring that all paperwork is completed correctly. They also provide customer service to providers and payers, and help resolve any issues that arise. They must stay up to date on payer policies and regulations, and ensure that all providers are in compliance.

What is Payer Enrollment Specialist Job Skills Required?

• Knowledge of healthcare payer networks and regulations
• Excellent customer service skills
• Ability to work independently and manage multiple tasks
• Strong organizational and problem-solving skills
• Proficiency in Microsoft Office Suite

What is Payer Enrollment Specialist Job Qualifications?

• Bachelor’s degree in healthcare administration, business, or related field
• At least two years of experience in healthcare administration or related field
• Knowledge of healthcare payer networks and regulations
• Excellent customer service skills

What is Payer Enrollment Specialist Job Knowledge?

Payer Enrollment Specialists must have a thorough understanding of healthcare payer networks and regulations. They must also be familiar with the enrollment process and be able to accurately complete paperwork.

What is Payer Enrollment Specialist Job Experience?

Payer Enrollment Specialists should have at least two years of experience in healthcare administration or a related field. They should also have experience working with payers, providers, and other stakeholders.

What is Payer Enrollment Specialist Job Responsibilities?

• Verify provider information and submit applications to payers
• Ensure that all paperwork is completed correctly
• Provide customer service to providers and payers
• Resolve any issues that arise
• Stay up to date on payer policies and regulations
• Ensure that all providers are in compliance with payer regulations